Ikpeze Tochukwu, Kulp Abigail, Williams Devin, Huber Aaron, Mesfin Addisu
Emergency Medicine, Hospital Corportation of America Kingwood, University of Houston, Houston, USA.
Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, USA.
Cureus. 2020 Dec 30;12(12):e12380. doi: 10.7759/cureus.12380.
Angiolipomas are rare primary benign tumors that can arise in the epidural canal and cause stenosis. Of the few cases of spinal angiolipomas described, most lesions have been located in the thoracic spine, and presentation of angiolipoma in the lumbar spine is very rare. The surgical management of a 39-year-old morbidly obese woman with angiolipoma that caused stenosis with neurogenic claudication and urinary changes is described. The lesion spanned L1-L2 and surgical management consisted of T12-L2 laminectomy and en-bloc resection of the lesion. During the latest follow-up, four years after the surgery, the patient's neurological symptoms showed improvement and there was no recurrence.
血管脂肪瘤是一种罕见的原发性良性肿瘤，可发生于硬膜外管并导致狭窄。在已报道的少数脊柱血管脂肪瘤病例中，大多数病变位于胸椎，而腰椎血管脂肪瘤的表现非常罕见。本文描述了一名39岁病态肥胖女性因血管脂肪瘤导致狭窄并伴有神经源性间歇性跛行和泌尿系统改变的手术治疗情况。病变累及L1-L2，手术治疗包括T12-L2椎板切除术和病变的整块切除。在术后四年的最新随访中，患者的神经症状有所改善，且无复发。
